What are the diagnostic considerations in Wellens syndrome?

Updated: Jan 25, 2018
  • Author: Benjamin B Mattingly, MD; Chief Editor: Erik D Schraga, MD  more...
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Potential diagnostic pitfalls with Wellens syndrome include the following:

  • Failing to recognize Wellens syndrome T-wave changes on electrocardiography (ECG)

  • Ordering a stress test without recognizing risks (see Workup); this may provoke a large anterior wall myocardial infarction (MI) [3]

  • Underestimating the seriousness of the ECG finding in a pain-free patient

  • Failing to properly admit or consult cardiology on patients with the characteristic ECG changes

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